Healdsburg Senior Living Community
725 Grove Street, Healdsburg, CA 95448


Healdsburg Senior Living Community is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555820. The address is 725 Grove Street, Healdsburg, CA 95448. The zip code is 95448. The phone number is 7074334877.


Healdsburg Senior Living Community · 725 Grove Street, Healdsburg, CA 95448

Federal Provider Number 555820
Provider Name HEALDSBURG SENIOR LIVING COMMUNITY
Address 725 GROVE STREET
HEALDSBURG, CA 95448
Phone Number 7074334877
SSA County Code 590
County Name Sonoma
Ownership Type For profit - Corporation
Certified Beds 38
Certified Beds Residents 33
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BERRYMAN HEALTH, INC
Date First Approved to Provide Medicare Medicaid Services 04/04/2005
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.5303
Reported LPN Staffing Hours per Resident per Day 0.40758
Reported RN Staffing Hours per Resident per Day 1.31515
Reported Licensed Staffing Hours per Resident per Day 1.72273
Reported Total Nurse Staffing Hours per Resident per Day 4.25303
Reported Physical Therapist Staffing Hours per Resident Per Day 0.11061
Expected CNA Staffing Hours per Resident per Day 2.24464
Expected LPN Staffing Hours per Resident per Day 0.5831
Expected RN Staffing Hours per Resident per Day 1.07848
Expected Total Nurse Staffing Hours per Resident per Day 3.90622
Adjusted CNA Staffing Hours per Resident per Day 2.76596
Adjusted LPN Staffing Hours per Resident per Day 0.58016
Adjusted RN Staffing Hours per Resident per Day 0.91117
Adjusted Total Nurse Staffing Hours per Resident per Day 4.38878
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 76
Cycle 1 Standard Survey Health Date 02/01/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 76
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 12/18/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 64
Cycle 3 Standard Health Survey Date 12/12/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 64
Total Weighted Health Survey Score 62
Number of Facility Reported Incidents 3
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Healdsburg Senior Living Community

Owner Name Role Association Date
ALAUX, JOHN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/13/1987
ALAUX, JOHN (Individual) DIRECTOR since 04/13/1987
ALAUX, JOHN (Individual) OFFICER since 04/13/1987
AVALON HEALTH CARE MANAGEMENT OF CALIFORNIA, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/01/2007
BERRYMAN HEALTH, INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2007
DEANS, LAWRENCE (Individual) MANAGING EMPLOYEE since 10/15/2013
KIRTON, CHARLES (Individual) MANAGING EMPLOYEE since 10/23/2012
MATTHEWS, ROBERT (Individual) MANAGING EMPLOYEE since 08/01/2004
PATZKE, THOMAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/13/1987
PATZKE, THOMAS (Individual) DIRECTOR since 08/27/2004
PATZKE, THOMAS (Individual) OFFICER since 04/13/1987
SHAUL, L (Individual) MANAGING EMPLOYEE since 07/01/2013

95448 · Nursing Home

Healdsburg District Hospital Dp/snf 1375 University Avenue, Healdsburg, CA 95448

Healdsburg · Nursing Home

Healdsburg District Hospital Dp/snf 1375 University Avenue, Healdsburg, CA 95448

CA · Nursing Home

Villa Serena Healthcare Center 723 E 9th Street, Long Beach, CA 90813
San Diego Healthcare Center 2828 Meadowlark Drive, San Diego, CA 92123
Windsor Healthcare Center of Oakland 2919 Fruitvale Ave, Oakland, CA 94602
Willow Pass Healthcare Center 3318 Willow Pass Road, Concord, CA 94519
Paradise Post Acute 7419 Skyway, Paradise, CA 95969
Westview Healthcare Center 12225 Shale Ridge Lane, Auburn, CA 95602
Advanced Rehab Center of Tustin 2210 E. First Street, Santa Ana, CA 92705
Dinuba Healthcare 1730 South College Ave., Dinuba, CA 93618
Kern Valley Healthcare District Dp Snf 6412 Laurel Ave, Lake Isabella, CA 93240
Palm Village Retirement Comm. 703 W Herbert Ave, Reedley, CA 93654
Avalon Health Care - San Andreas 900 Mountain Ranch Road, San Andreas, CA 95249
Central Valley Specialty Hospital - Snf 730 17th Street, Modesto, CA 95354
Buena Park Nursing Center 8520 Western Avenue, Buena Park, CA 90620
Briarwood Post Acute 5901 Lemon Hill Ave, Sacramento, CA 95824
Anaheim Crest Nursing Center 3067 W Orange Avenue, Anaheim, CA 92804
Royal Care Skilled Nursing Ctr 2725 Pacific Avenue, Long Beach, CA 90806
East Bay Post-acute 20259 Lake Chabot Road, Castro Valley, CA 94546
Green Acres Lodge 8101 E Hill Drive, Rosemead, CA 91770
The Californian-pasadena 120 Bellefontaine Street, Pasadena, CA 91105
Skyline Healthcare Center - La 3032 Rowena Ave, Los Angeles, CA 90039
Lompoc Valley Medical Ctr Comp Care Ctr D/p Snf 216 N Third Street, Lompoc, CA 93436
Auburn Ravine Terrace 750 Auburn Ravine Road, Auburn, CA 95603
Alameda Hospital D/p Snf 2070 Clinton Ave, Alameda, CA 94501
Redwood Healthcare Center LLC 3145 High Street, Oakland, CA 94619
Country Villa Claremont Health Center 590 S. Indian Hill Blvd., Claremont, CA 91711
Ramona Nursing & Rehabilitation Center 11900 Ramona Boulevard, El Monte, CA 91732
Knolls West Post Acute LLC 16890 Green Tree Blvd, Victorville, CA 92395
Del Rio Gardens Care Center 7002-4 East Gage Avenue, Bell Gardens, CA 90201
Delta Nursing & Rehabilitation Center 514 North Bridge Street, Visalia, CA 93291
Ojai Valley Community Skilled Nursing Facility 1306 Maricopa Hwy, Ojai, CA 93023
Woodlands Healthcare Center 14966 Terreno De Flores Lane, Los Gatos, CA 95030
Maple Healthcare Center 2526 Maple Ave., Los Angeles, CA 90011
Villa Coronado D/p Snf 233 Prospect Place, Coronado, CA 92118
Atlantic Memorial Healthcare Center 2750 Atlantic Ave., Long Beach, CA 90806
Woodland Care Center 7120 Corbin Ave., Reseda, CA 91335
San Jacinto Healthcare 275 North San Jacinto Street, Hemet, CA 92543
Town and Country Manor 555 East Memory Lane, Santa Ana, CA 92706
Crown Bay Nursing and Rehabilitation Center 508 Westline Drive, Alameda, CA 94501
Raintree Convalescent Hospital 5265 East Huntington Avenue, Fresno, CA 93727
Windsor Country Drive Care Center 2500 Country Drive, Fremont, CA 94536